Page 171 - Hospital Authority Convention 2018

Masterclasses

M14.1 Evidence Based Perioperative Medicine 13:15 Theatre 2

Perioperative Medicine Service Model in a Local Teaching Hospital in Hong Kong
Ip KY
Department of Anaesthesiology, Queen Mary Hospital, Hong Kong
Conventionally, the care of patients who undergoes surgery has largely been confined to the surgical procedure and the HOSPITAL AUTHORITY CONVENTION 2018
disease being treated by that procedure. However, increasing evidence has shown that apart from surgical technique, there
are many factors that could affect the occurrence and severity of postoperative adverse outcomes and organs dysfunction.
So, the objective of perioperative medicine is to deliver the best medical practice to patients during the pre-, intra- and
postoperative periods. This can be done by developing new clinical pathways or refining existing care pathways in different
phases of surgery.
As anaesthesiologists, we have a central role in perioperative management of this patient group. Preoperatively, we can
develop a proper risk stratification system and from the risk scoring system, we can identify important risk factors of
adverse events and initiate both organ protection strategies and implement prohabilitation programmes for risk modification.
Intraoperatively, we can continue to improve our care with best evidenced base practice. Postoperatively, we can take part
in preventing and treating complications through developing different protocols according to the level of risks anticipated.
These measures are especially important when we are facing an ageing population and the challenges that brought along
with the older and sicker patients.

In this presentation, we will outline what perioperative medicine is and describe how the service is run in our hospital. We will
also compare different models of care worldwide and finally hope to invite the audiences to discuss the future direction of
development in this interesting and expanding subspecialty.

M14.2 Evidence Based Perioperative Medicine 13:15 Theatre 2

Patient Blood Management: Experience in a Regional Hospital
Wan RCC
Department of Anaesthesiology and Operating Theatre Services, Tseung Kwan O Hospital, Hong Kong

Patient blood management (PBM) is an evidence based, multidisciplinary approach to optimise the care of patients who
might need transfusion. The various strategies in PBM can be categorised into three aspects – optimisation of red cell
mass, minimisation of blood loss, and management of anaemia. Applying PBM in perioperative period can reduce the
need for allogeneic blood transfusion, therefore reducing patients’ exposure to associated risks. With less transfusion, the
healthcare costs can be reduced and the shortage of blood products in Hong Kong can be alleviated. In this presentation,
the experience of PBM in a regional hospital is discussed, with a particular focus on the use of intravenous iron in the
management of pre-operative iron deficiency anaemia. Tuesday, 8 May 2018

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